New York Nursing Homes >> Carthage Nursing Homes >> The Country Manor Nursing And Rehab Ctr

The Country Manor Nursing And Rehab Ctr - Carthage Nursing Home

General Information

UPDATE
Federal Provider Number
335579
Provider Name
THE COUNTRY MANOR NURSING AND REHAB CTR
Provider Address
1045 WEST STREET
CARTHAGE, NY 13619
Provider Phone Number
(315) 493-3220
Provider SSA County
330
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARTHAGE NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.02126
Reported LPN Staffing Hours per Resident per Day
1.03448
Reported RN Staffing Hours per Resident per Day
0.46264
Reported Licensed Staffing Hours per Resident per Day
1.49713
Reported Total Nurse Staffing Hours per Resident per Day
3.51838
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10115
Expected CNA Staffing Hours per Resident per Day
2.39954
Expected LPN Staffing Hours per Resident per Day
0.59448
Expected RN Staffing Hours per Resident per Day
0.87857
Expected Total Nurse Staffing Hours per Resident per Day
3.87259
Adjusted CNA Staffing Hours per Resident per Day
2.06688
Adjusted LPN Staffing Hours per Resident per Day
1.44431
Adjusted RN Staffing Hours per Resident per Day
0.39346
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66221
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-11-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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